| Tyler Kimball Wright, MD | |
|
5213 Godfrey Rd Ste 110, Godfrey, IL 62035-2510 | |
| (618) 619-3330 | |
| Not Available |
| Full Name | Tyler Kimball Wright |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 5213 Godfrey Rd Ste 110, Godfrey, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679140891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036171961 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 125078542 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alton Memorial Hospital | Alton, IL | Hospital |
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Heights Medical Group Sc | 6800784083 | 386 |
| Entity Name | Fairview Heights Medical Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Kimball Wright, MD 5213 Godfrey Rd Ste 110, Godfrey, IL 62035-2510 Ph: (618) 619-3330 | Tyler Kimball Wright, MD 5213 Godfrey Rd Ste 110, Godfrey, IL 62035-2510 Ph: (618) 619-3330 |
Dr. Jon Anthony Wagnon, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1368 Dadrian Professional Park, Godfrey, IL 62035 Phone: 618-433-9701 Fax: 618-433-9706 | |
Michael Robert Messmer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330 Fax: 618-463-7601 | |
Dr. Christopher S Wagoner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330 Fax: 618-619-3390 | |
Dr. Yusuf Ata Mohyuddin, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 Dadrian Professional Park, Godfrey, IL 62035 Phone: 618-466-2523 Fax: 618-466-2593 |